Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Cardiology LLC

Organization Cardiovascular Disease Physician · NPI 1790196293

Providence Cardiology LLC provides Cardiovascular Disease Physician services in Columbia, South Carolina. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

114 Gateway Corporate Blvd Ste 300
Columbia, SC 29203-9740 Not confirmed with CMS for 12 years — call before visiting
Phone: (803) 254-3278
Fax: (803) 376-8010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1790196293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Ellis — Ceo · (803) 254-3278
Other names Providence Cardiology
NPI enumeratedMay 19, 2014
Last updated in NPPESMay 19, 2014
Mailing address2001 Laurel St, Columbia, SC 29204-1018

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